The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. locating a long-time friend who is willing to help him at home, referring him to a neuropsychologist for testing, engaging in lengthy discussions with his primary care physician and neurologist, participating in multiple conversations with the attorney, and trying to find a guardian or power of attorney. He needs assistance and monitoring with daily tasks, such as home care, shopping, transportation, understanding the settlement process, reading his mail, and paying his bills. Are there any ethical considerations in this dilemma? Total loading time: 0 During the last two years, she required total care. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors professional roles in school settings, uncooperative behaviours among stakeholders, and suspected child sexual abuse. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. Ethics Vignette #2 A local psychiatrist is referred by his attorney for neuropsychological evaluation related to possible mild head injury ( traumatic brain injury) from a MVA. The therapist does not dwell on the situation with the patient. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. Ethical dilemmas in clinical supervision. 1: Need for guidelines Dr. Popeil thinks these ideas are good. The physician wants the psychologist to treat his 17-year-old daughter . Mrs. Simpson thought it would be good for Dr. Smith to review the report in order to help him with their therapy. Counseling Ethics Code: 10 Common Ethical Issues & Studies Tara was offered this position after successfully completing both her practicum and her internship at the center. New York: John Wiley & Sons, Inc. Dr. Goodfriend is unclear whether Buddy is serious or joking. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. B) =AiV5bAqUKxs#6{pA :)B'5-a* xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. PDF Ethics, Competence, and Professional Issues in Cross-Cultural Counseling Contemplate these 16 conundrums. If you were Dr. Goodfriend, how do you feel about the phone call? <> However, he researches the APA Ethics Code and believes that he may be acting inappropriately. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. To use suggested categories to consider options for ethical response to the dilemma. Dilemma 4: A Psychologist in Turmoil Dilemma 5: A Tricky Situation Dilemma 6: Referral and Treatment Boundaries Dilemma 7: An Invitation to Assess Dilemma 8: A Session with the Spouse Dilemma 9: Psychologist as Character Witness endobj Dr. endstream An important factor is that there is no cost to you, as the therapist. This has caused both his physical and From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. Encourage the client to file a complaint with the State Board of Psychology. Simultaneously, the religious institution is adamant about this requirement. She was pleased to find that by attending the seminar, she could earn 20 CEUs that would count towards maintaining her licensure, and also gain the knowledge needed to successfully treat her new clients. Ethics and law for school psychologists . Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. Your browser either does not support scripting or you have turned scripting off. Plenty lives and practices psychotherapy in a rural area. She recalled that he agreed that it could make a good book. The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. Ethical Conflicts In Psychology Book Pdf Download Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. <>>> How would you feel if you were the consultant? View all Google Scholar citations The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . If you were the psychologist, what would be your emotion response to this situation? How would you advise Dr. Thomas to handle them? An ongoing theme in therapy revolves around his sexual orientation. While you are there, a family member arrives with a copy of a notarized advance directive, created within the last year, which specifically outlines the patients wishes not to be placed on a ventilator or any artificial life support. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. The test usually takes approximately 40 to 60 minutes to administer. While it is not a complete assessment, it can guide patients to you for further psychological consultation. I encourage you to review our web site. How are the clients emotional and interpersonal issues related to the therapists dilemma? What would you need from the attorney? %PDF-1.3 What would you likely do with this email solicitation? Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. He recalled that he was an older person with significant depression who eventually became better. The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. The main therapeutic issues are depression and loneliness. Tel: 434-971-1841 E-Mail: Office@CenterForEthicalPractice.org, Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. ; & Hartshorne,T.S. Has data issue: true Mrs. Simpson read the report and admitted that she did not understand some of the psychological jargon used in the report and had difficulty understanding what the conclusions of the report were. Ethics and Psychology: Vignette Warehouse (39) The days allocated for her stay by her insurance are ending in two days. Your browser either does not support scripting or you have turned scripting off. xZ[o~/@FPpt>(2]s$gfH]Q4!g8oX4^e^Xt]Qn}a.>_t]t[}y^_-/.&$]|!X KC2In_g?/a=1x9>n3b.O R|xyis.(gi_E`I>a("?MX\H&4-oX0~K1'I{GotYsvs!f5Xk\p)nolV5z/ZX\F^sH%Sv 2E[tO8=~?g[)R t,q$q< Q2 viA#UgMzewq(! ^wV[W\_Dv(rS6S2 R0y[w*Lw$d+_^#&mw[p;(>H{m #1nA Of course, they exist in all forms of counseling, from short-term advising . She does not feel right taking a fee larger than her usual and customary rate. At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. 8 0 obj Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Tara has been working as a therapist for the past two years in a local community mental health center that primarily treats middle-aged adults who suffer from depression. His attorney believes that some good, written character references will really help out with the case. It then provides six vignettes where supervisors are faced with ethical dilemmas. How easy or how difficult would it be to take those steps? Buddy phoned Dr. Goodfriend in an apparent emotional anguish by the tone of his voice. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. Prior to returning the call, Dr. Jordan reviews the patients chart. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. What emotional reactions may occur for the therapist? Dr. Goodfriend speaks with Buddy about once every six to nine months. The ex-wife moved back to the area about six months ago. February 27, 2023 . She eventually blurted out that, during a heated discussion, her boyfriend indicated that looking at online pornography was not as bad as what his uncle did. Also during the course of the phone contact, Chuck expresses some homicidal rage toward his parents, particularly around financial issues and early childhood sexual abuse from his father. The treatment notes indicate that she dropped out of therapy about one year ago. She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). Dilemma 20: Has the Psychologist Done Too Much? The client, Mr. Don Tellanyone, is a Sultan, M., Tump, A.N., Geers, M. et al. Out of options, Dan is asking Dr. Crane to be the faculty advisor. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. This qualitative research aimed to define school counsellors ethical dilemmas and their responses to such situations. The physician wants the therapist to treat his 17-year-old daughter, who suffers with what he describes to be an eating disorder and perhaps some Borderline Personality Disorder traits. The therapist obtains the keys and title for the vehicle. Patient contact information will be part of the administration process. P. (1996). The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. ethical dilemmas in counseling vignettes - laoiscivildefence.org He also indicated that the relationship is taking on a more serious tone. What are potential advantages in this scenario? Continuing Education & Ethical Resources For Mental Health Professionals. It may rather be a sign that one is fully engaged in the life of a community. The Center maintains responsibility for this program and its content. When asked about the reason for the referral, she said that her physician had referred her for anxiety. T. he counseling field is rich with ethical issues (American Counseling Association [ACA], 2014; Bodenhorn, 2006; Herlihy & Dufrene, 2011), so counselors have to be knowledgeable about current ethical and legal topics and attentive to their day-to-day clinical work. However, Cynthia also realized that she didnt have much training or experience working with clients with eating disorders, so she decided to attend a week-long seminar on the treatment of eating disorders offered by the local community mental health center. Dan asked a number of faculty members to be the faculty advisor of this group. Dan explained to Dr. Crane that this group would be student-led and meet on campus. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. Dr. Tell explained that the alleged perpetrator was several times removed from their sessions and she did not believe that she had the obligation to report it. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. However, after the session, the therapist feels uneasy about what his patient revealed. PDF Trainee Psychological Counselors' Understanding of Ethics - ed The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. ethical dilemmas in counseling vignettes. What are the potential ethical issues with this case? Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. What are the ethical issues involved in this scenario? They see her regularly for informal family events and do holidays together with their adult children and grandchildren. Dr. Jordan calls you on the phone for an ethics consultation. <> Download Ethical And Professional Issues In Counseling (PDF/BOOK) Full